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Peripheral parenteral nutrition complications

“PPN proved to be a safe and effective therapy for short-term PN when managed by a nutrition support team. PPN has the potential to attenuate short-term nutrition deficits and prevent central venous access device insertion in selected patients, making it a valuable nutrition support therapy” Bidgood et al (2024).

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Review of handheld ultrasound for placement of peripheral IV catheters – Full Text

“Ultrasound guided IV catheter (USGIV) access occurs frequently in Emergency Departments (EDs). This task is often performed using large, expensive, cart-based ultrasound systems (CBUS) which are frequently needed for other ED ultrasound functions and can be cumbersome to use and store. Handheld ultrasounds (HHUs) may be able to meet this need, but it is unknown if they function interchangeably with CBUS for USGIV placement” Malik et al (2024).

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Demographic-based disparities in CLABSI outcomes – Full Text

“This study highlights significant disparities in CLABSI outcomes based on demographic factors. Addressing these disparities is crucial for improving CLABSI management and healthcare equity. Further research should explore the underlying causes of these differences to inform targeted interventions” Dix et al (2024).

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Complications associated with PICC tunneling

“The findings of this study suggest that both standard and pseudo-tunnels provide comparable levels of safety and comfort for patients. It was noted that Pseudotunnel offers an equivalent level of safety for patients with coagulation disorders related to PLT and INR, rendering it comparable to a “minimally invasive procedure,” which necessitates the same precautions as a non-tunneled PICC” Elli et al (2024).

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Cellulitis home-based treatment in children

“Implementing a directed ambulatory care pathway for children with moderate periorbital cellulitis proved to be an effective and safe management strategy. This approach reduces the strain on hospital bed occupancy while promoting community-based patient care” McPherson et al (2024).

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Complications associated with PICC tunneling

“The findings of this study suggest that both standard and pseudo-tunnels provide comparable levels of safety and comfort for patients. It was noted that Pseudotunnel offers an equivalent level of safety for patients with coagulation disorders related to PLT and INR, rendering it comparable to a “minimally invasive procedure,” which necessitates the same precautions as a non-tunneled PICC” Elli et al (2024).

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Cellulitis home-based treatment in children

“Implementing a directed ambulatory care pathway for children with moderate periorbital cellulitis proved to be an effective and safe management strategy. This approach reduces the strain on hospital bed occupancy while promoting community-based patient care” McPherson et al (2024).

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Dehydration and rehydration strategies – Full Text

“Overall, this review aims to enhance the understanding of the conditions in which in vivo dehydration models and rehydration strategies are applicable, thereby advancing research into the physiological and pathological mechanisms of dehydration and supporting the development of effective rehydration therapies” Wang et al (2024).

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Predictors of successful long-term hemodialysis access outcomes

“Understanding predictors of successful long-term access outcomes can guide decision-making regarding access type and alternative strategies. In our cohort, increased age and prior central venous catheter placement are associated with a shorter time to failure of permanent hemodialysis access and an increased risk of needing revision” Talebi et al (2024).

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Improved CLABSI prevention bundles

“Sensitizing physicians to the existence and duration of CVCs accompanied with improved bundle-prevention measures, resulted in reduction of pCVCs, and outside the ICU, also in reduction of CVC-UR and CLABSI rates” Regev et al (2024).

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Using central venous access devices outside of ICU settings

“Reliable and long-lasting venous access in children is preferred outside the ICU settings where CVADs are essential for long-term treatment involving administration of long-term nutrition in gut enteropathies, chemotherapy, hemodialysis as well as in palliative situations requiring pain medications or administration of antibiotics as in chronic osteomyelitis” Rajkumar et al (2024).

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Impact of inappropriate central line blood cultures

“The infectious diseases service was consulted for possible catheter related bloodstream infection (CRBSI). The consultant determined that the risk of CRBSI was low because the tunneled line was nontender without surrounding erythema or drainage, and the patient had a known alternative source of infection” Fuher et al (2024).

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Flushing interval for totally implantable venous access ports – Full Text

“The incidence and burden of intraluminal clots did not increase significantly within the first 3 months. Occlusion was rare, even in the presence of clots, and was successfully treated. Therefore, a 3-month flushing interval appears to be a safe and practical option, aligning with the common recommendation for surveillance intervals in patients with cancer” Yang et al (2024).

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